If you're a first-time client, please review and complete the following forms, bring them to your first session.

• Limits of Confidentiality/Cancellation Policy Form

If you would like us to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

• Consent to Release Information Form

Confidentiality and Cancellation Policy
Consent to Release

Note: To download Adobe Acrobat Reader for free, click here.

Kelly is supervised by a fully licensed psychologist under the State of Michigan law by Bruce Fowler, Psy.D.  A Michigan limited license permits practice under the supervision of a Michigan licensed psychologist.